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Application and Supporting Documentation Lt flip Frw� 444 A,k •2 = Arlo— Ar nLl l J fel {L��S V' �A.t..a' 19r'DP-.r47 (.14. 'Ila i 1 SLS P ,, Q, � +� 8�k'S/Pr I nCI , a-� S�rLc� r.� lr?�KFov, 4— Use Variance [ZBA approved September 21 2016] Town of Queensbury Use Variance Application REVIEW PROCESS: 1. Required Pre-Submission meeting with staff to determine general completeness of application materials to be held no later than 1 week crier to deadline day. Call(518)761-8238 or(518)761-8265 for an appointment. 2. Determination of application completeness. All necessary information must be provided and appropriate fee(s)paid for consideration for placement on an agenda for that month. 3. Incomnlete annlications will not be considered for placement on anv agenda until all missing information has been sunnlied. 4. Submittal to the Warren County Planning Board, if applicable. 5. Zoning Board meetings,generally the third and fourth Wednesday of each month. You will be advised in writing as to which meeting to attend. 6. Following the meeting,you will be provided with a copy of the resolution stating the Board's decision on your application. If your application was approved,the next likely step is a Building Permit. Final plans/drawings must be provided for the next phase of review. If your application was denied your project cannot proceed as submitted. DOCUMENTS TO BE SUBMITTED: (HARD COPY&ELECTRONIC) 1 original and 14 conies of the completed application package to include: ComDleted ADDlleatien: pages 1-9 completed,signed&dated Pre-Submission Meeting Notes: signed by staff Denial Letter: from the Zoning Administrator Surtlev: Current Survey: survey map depicting current conditions—sign,stamped,date by surveyor Proposed Conditions Map: The proposed conditions map must be based on a current survey and may by prepared by Surveyor,Professional Engineer(Civil)or a Registered Architect. Area/Sign Applications: must provide a final as-built survey depicting all site conditions and improvements Survey Waiver: Applicant may request a waiver from the survey pre and post requirements. CorV of Deed Fee:$100 ZONING STAFF&CONTACT INFORMATION: Craig Brown,Zoning Administrator craigb(tdaueensburv.net Laura Moore,Land Use Planner lmoore(a),aueensburv.net Sue Hemingway,Office Specialist suehOoueensburv.net (518)761-8238 Visit our website at www.aueensburv.net for further information and forms. Page 00 Use Variance [ZBA approved September 21 2016] COMPLIANCE WITH ZONING ORDINANCE 1) The Statutes describe a Use Variance to mean the authorization by the Zoning Board of Appeals for the use of land for a purpose which is otherwise not allowed or is prohibited by the applicable zoning regulations. 2) In deciding a request for a Use Variance the Zoning Board of Appeals [ZBA]may not grant a Use Variance without a showing by the applicant that the applicable zoning regulations and restrictions have caused an unnecessary hardship. In order to prove such hardship,the applicant must prove for each and every use permitted under the regulations for the applicable zoning district that: a. The applicant cannot realize a reasonable retum,provided that return is substantial as demonstrated by competent financial evidence. b. The alleged hardship relating to the property in question is unique,and does not apply to a substantial portion of the district or neighborhood. c. That the requested Use Variance, if granted will not alter the essential character of the neighborhood. d. That the alleged hardship has not been self-created. Page 00 Use Variance [ZBA approved September 21 2016] General Information Tax Parcel ID Number: 302 Zoning District: C Detailed Description of Project[includes current&proposed use]: _QrP-10;1 {�nwseS ) "AnA, Moon- 'i'S Acy.i , a_.� � ,nF1 al F51241w 00N /$+ �r ti a 1'fT Location of project: 06r:u-.k Applicant Name: Address: Home Phone Cell: p f! q� 8 —abs ^ � II Work Phone Fax E-Mail: / oma Agent's Name: Address: Home Phone Cell: Work Phone Fax E-mail Owner's Name Address (I eA(-,e 54- Home -Home Phone Cell Work Phone Fax 3if3 _ �-3a--©(o3a E-mail Page I Use Variance [ZBA approved September 21 2016] Site Develooment Data Area/Type Existing sq.ft. Proposed Total sq. ft. Addition A. Building footprint y39a B. Detached Garage C. Accessory Structure(s) D. Paved,gravel or other hard surfaced area '757� IgC)o 157a 6 E. Porches/Decks F. Other G. Total Non-Permeable [Add A-F] Q 5—q — 7 f �8 H. Parcel Area [43,560 sq. ft./acre] I. Percentage of Impermeable Area of Site [I=G/H] ` Setback Requirements Area Required Existing Proposed Front [l] 5 +, Front [2] Shoreline J Side Yard [1] ! F Side Yard [2] Rear Yard [1] a 5� + 63 { , Rear Yard [2] Travel Corridor J Height [max] Permeability No. of parking spaces Page 2 Use Variance[ZBA approved September 21 2016] Additional Proiect Information 1. Will the proposal require a Septic Variance from the Town Board of Health? /U c� 2. If the parcel has previous approvals, list application number(s): A I Per w:.JC\ 4-' o, ao 1 } 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System(SPDES)Permit Program? _Yes/ No ,/ 4. Estimated project duration: Start Date: //l /;tot j End Date: 1 5. Estimated total cost of project. /0© t fnAo 6. Total area of land disturbance for project: x4-3 The following information is needed by the Zoning Board of Appeals and reflects the criteria for granting a Use Variance. Please respond to each item; use additional sheets if needed: 1. The applicant cannot realize a reasonable return, provided that return is substantial as demonstrated by competent financial evidence. '5.p—a o 47 '7 2. The alleged hardship relating to the property in question is unique, and does not apply to a substantial portion of the district or neighborhood. F :L F 3. That/th� ir 1ae requested Use Variance,if granted will not alter the essential character of the neighborhood 1� F&Ip Qt- ---CLX r o ' AV Le S 1j) Llai�o e 9? (o 1 "k d..`—e J ! 4. That the alleged hardship has not been self-created. Please take note: • Responses to items 14,above,must be provided for review by the Zoning Board of Appeals. • New York State Town Law 267-b requires that the Zoning Board of Appeals deny the variance-if any one,or more of the factors listed above is NOT PROVEN. Page 3 Use Variance [ZBA approved September 2120161 Section 179-14-030 Application materials and site plan drawing is to include sufficient information for the Board to review and provide a decision. The applicant is to provide a site plan drawing(s)—a survey showing existing conditions,a proposed conditions map(see page 00 for specific criteria)and include any other attachments that address A-D as applicable to the proposed project. A. General Shown on Sheet# J 1 Title,Name,Address of applicant&person responsible for preparation of drawing VD. t � 2 Deed -rc6,_ y-,i FP- 3 North arrow,Tax Map ID,date prepared and scale [minimum: 1 inch=40 feet] _ 4 Boundaries of the property plotted to scale,zoning boundary q 5 Principal structures,accessory structures with exterior dimensions 6 Site improvements incl. outdoor storage areas, driveways, parking areas, etc.: existing& 7 proposed 7 Setbacks for all structures and improvements: existing& proposed w 8 Elevations and floor plans of all proposed and affected structures P-q Vg_ Of-311 B. Water&Sewer Shown on Sheet# I Project sewage disposal facilities,design details, construction details, flow rates,and number of bedrooms proposed J 2 Water supply [i.e.well] &septic on adjoining lots with separation distances to existing or n proposed on-site water supply and septic P 3 Separation distances for proposed sewage disposal system to well and water bodies A-1 I 4 Existing public or private water supply [well,lake,etc.]. Method of securing public or private N water,location,design and construction of water supply including daily water usage 5 Percolation test location and results J C. Parking/Permeable Areas Shown on Sheet# J 1 Number of spaces required for project including calculations and justification: existing& Coposed 2 o.of existing parking spaces,number to be removed,number to maintain and type of surfacing material [e.,gravel,paved] F -3 3 Provision for pedestrian and handicap access and parking: existing!&proposed 0, 4 Design details of ingress,egress, loading areas and cutting: existing&proposed /F} 5 Location and character of green areas [existing and proposed],modification to green area, buffer zone to remain undisturbed 6 Li hting, location and design of all existing and proposed outdoor lighting D. Zitional Site Development and Miscellaneous Shown on Sheet# I On-site&adjacent watercourses, streams, rivers, lake and wetlands n 2 Utility/energy distribution system [gas,electric,solar,telephone]: existing&proposed 3 Location,design and construction details of all existing and proposed site improvements N� including: drains,culverts,retaining walls,fences,fire&emergency zones and hydrants,etc. 4 Square footage of bldg.area proposed for office,manufacturing,retail sales or other commercial activities: existing&proposed JU 5 Signage: Location,size,type,design and setback: existing!&proposed A- 6 Waiver Request: provide letter with application requesting any waivers: please reference /� specific items 7 Commercial/Industrial Development requires submission of Landscaping, Stormwater Management,Grading&Lighting Plans AA- 8 Identification of Federal, State or County permits required for the project together with a record of application for all necessary permits Page 4 Use Variance [ZBA approved September 2120161 Pre-Submission Conference Form/Section 179-9-040 1. Applicant Name: ( Ui�[tiu •.. Wl�►a+� 2. Tax Map ID 302 -, _ , - ay Location: 3. Zoning Classification C 1 4. Reason for Review: J6 A w q✓1 eui OL per tmo e 11�- JV a n "%� L-U4 o2 e4e / l lovttcl``� BJereyo (4 UQCGit7 5. Zoning Section#: 17�!"2'fj�C] _I 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by �� Deed General Information complete ✓ Site Development Data Complete ✓ Setback Requirements Complete ✓ Additional Project Information Complete FAB A. cYnJv _ Compliance with Zoning Ordinance ✓ Checklist items addressed ✓ Environmental Form completed Signature Page completed co pw ks tVlJmutvt�ctil a? e-c«h aec,r4n b U �coAt90 Pyr n�. Prdf4CUA, 44s raots rA .-L G Pale , i s zt cl C% e4i N, a rAtyw q fcc. G c-e ewo G iVICUA4 }�'' 9&Arf ,Ie0 �ct"C' a i,(0 nt e, of ue oen 6 1 &J (t,4 l� vie%, �✓t _ G:'gene- e-xokt0rn 4t rut ri t ( � P_ Ji v5� C PX n n04 be, Co,/r( 'e`k-1 CT) 0.12e4i /7 02 , 3; od nn w► G�^Qsel �n aIc rt ti r tk ol!e dt - Pnr.lt .�Q'-Crccc��21 raf ��G�bii��fe Ce 9 '►�( [ G1_ SSFI` r~Gfcl et . c_d� rr c I C Staff Representative: Applicant/Agent: Date: Page 5 Use Variance [ZBA approved September 21 2016] This page includes the 1.) Authorization to Act as Agent Form: 2.) Engineering Fee Disclosure;3.)Authorization for Site Visits; 4.) Other Permit Responsibilities;5.)Official Meeting Disclosure and 6.)Agreement to provide documentation required. OWNER's AGENT FORM: Complete the following if the OWNER of the property is not the same as the applicant: Owner: -9TBi u!k Designates: OAUi M /!la as Agent regarding the following: Variance \X Site Plan_ Subdivision 55yU 19 For Tax Map No.: — - `r Deed Reference: Book_ Page Y�-, -oil OWNER SIGNATURE: -DATE: APPLICANT'S AGENT FORM: Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party: Owner: Designates: as Agent regarding the following: Variance_ Site Plan_ Subdivision_ �/ 7710 i For Tax Map No.: Deed Reference: Book Page f5Datey/!7"/90 OWNER'SIGNATURE: DATE: 1777 2.) ENGINEERING FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design, storm drainage, etc. as determined by the Zoning or Planning Department. Fees for engineering review services will be charged directly to the applicant. Fees for engineering review will not exceed S 1,000 without notification to the applicant. 3.) AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein, the Owner,Applicant,and his/her/their agent(s)hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose of reviewing the application submitted. 4.) OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteration activity subsequent to approval by the Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional permits. 5.1 OFFICIAL MEETING MINUTES DISCLOSURE: It is the practice of the Community Development Department to have a designated stenographer tape record the proceedings of meetings resulting from application,and minutes transcribed from those tapes constitutes the official record of all proceedings. 6.) AGREEMENT TO PROVIDE DOCUMENTATION REQUIRED: I,the undersigned, have thoroughly read and understand the instructions for submission and agree to the submission requirements, I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application, plans and supporting materials are a true and complete statement/description of the existing conditions and the work proposed, and that all work will be performed in accordance with the approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed, I or my agents, will obtain a certificate of occupancy as necessary. I also understand that Uwe may be required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy I have read and agree to the above. UAI -" WI](LN' . Sig are[Applicant] Print Name[Applicant] Dat st d Signature[Agent] Print Name[Agent] Date signed Page 6 Short Environmental Assessment Form Part I - Project Information Instructions for Comaletine Part I - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: J o G 1#,.,A-p— ctr ti U-e Project Location(describe,and attach a location map): TA-'i 1�kAP 14 30a-.7 - /-aV Brief Description of Proposed Action: -><o M �-a�n 2, PV43 4tid FFapoSit `-1 Name of Applicant or Sponsor: I Telephone�'/ C -3 go ci Wtl1 Nr-� �11r�e r I E-Mail: e yT wte¢rC�7�a boa I Address: City/PO: State: Zip Code: Cts ez, o 11t /V -`( q 1.Does the proposed action involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)n e and permit or approval: Rc_A (�L�r,I� ��n��f� 3.a.Total acreage of the site of the proposed action? . acres b.Total acreage to be physically disturbed? -r~- acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? _3 3 _acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial I�ommercial Residential(suburban) ❑Forest ❑Agriculture El Aquatic j❑'Other(specify ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? R-R ❑b.Consistent with the adopted comprehensive plan? ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? I ❑ 91 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO 'YES If Yes,identify: I M ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES I � ® Q b.Are public transportation service(s)available at or near the site of the proposed action? I ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? 14NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ X 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? Iv I ❑ b.Is the proposed action located in an archeological sensitive area? l®J ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES I wetlands or other waterbodies regulated by a federal,state or local agency? IIV, ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: El 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands []Early mid-successional. ❑Wetland ❑Urban lAsuburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? E-116.Is the project site located in the 100 year flood plain? 0 YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? I OII I If Yes, ❑ a.Will storm water discharges flow to adjacent properties? to NO ❑YES b.Will storm water discharges be directed to established conveyance systemsff and stone drains)? If Yes,briefly describe: 'PNO AYES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO ' YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: t jnm v,%v K l NLf Date: / / 2-011 Signature: .,Jl_,lr� _ 666 PRINT FORM I Page 3 of 3 Agency Use Only IIf applicable] Project: Date: Short Environmental Assessment Form Part 2 - Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 1:1regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? V0- ❑ 3. Will the proposed action impair the character or quality of the existing community? f ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the � ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: I 11a.public/private water supplies? b.public/private wastewater treatment utilities? ) ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? �I 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, W ❑ waterbodies,groundwater,air quality,flora and fauna)? 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage F-1problems? Cyt 11. Will the proposed action create a hazard to environmental resources or human health? I X ❑ PRINT FORM I Pagel of2 Agency Use Only[If applicable] Projecel J Date: Short Environmental Assessment Form Part 3 Determination of Significance For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting, probability of occurring,duration,irreversibility,geographic scope and magnitude. Also consider the potential for short- term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not resuh in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT FORM I Page oft TOWN OF QUEENSBURY A11.sc jp' % Site Plan Review Application I I a ,l3 Review Process: 1. Required Pre-submission meeting with staff to determine general completeness to be held no later than 1 week Drior to deadline day. Call (518) 761-8265 or(518) 761-8220 for an appointment. 2. Submittal of complete application: 1 original and 14 copies of the application package by monthly deadline. 3. Determination of application completeness. All necessary information must be provided and appropriate fee(s)paid for consideration for placement on an agenda for that month. 4. IncomDlete aDDlications will not be considered for Dlacement on anv agenda until all missing information has been submitted. 5. Submittal to Warren County Planning, if applicable. 6. Planning Board meeting, generally the third & fourth Tuesday of each month. You will be advised in writing as to which meeting to attend. 7. Following the meeting you will be provided with a copy of the resolution stating the Board's decision on your application. If your application was approved, the next likely step is a Building Permit. Final drawings must be provided for the next phase of review. If your application was denied, your project cannot proceed as submitted. DOCUMENTATION REOUIREMENTS (hard conv & electronic): Please submit I original& 14 conies of the completed application package to include: • ComDleted Application Dages 2-9, signed & dated • Pre-Submission Meeting Notes: signed by staff • Conv of Deed • Checklist& Plot Plan • Environmental Assessment Form for any non-residential project • Fee: $100 (0 - 10,000 sq. ft.); $250 (10,001 - 30,000 sq. ft.); $500 (30,001 -100,000 sq. ft.); $1,000 (100,000+ sq. ft.) Staff& Contact Information: Craig Brown, Zoning Administrator craigbna,aueensburv.net Laura Moore, Land Use Planner lmoore(iDaueensburv.net Sunny Sweet, Office Specialist-Planning sunnvsCa.aueensburv.net (518) 761-8220 Visit our website at www.aueensburv.net for further information and forms 1 Site Plan Review application-Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 General Information Tax Parcel ID Number: 7— / - Zoning District: L f Lot size: 3 ; QCrer, . Detailed Description of Project [includes current&proposed use]: C�fl � _ �w.�� c � o , ��S �1anZ G�no2 t�l � �tenna9pCii . �1 Co rr,rv.R C_t �1 �l S?��E i S ,tlo cP o S � i^ d,ML Gl1e o rL� la a� nr,q -4, V Y Location of project:l Applicant Name: Address: Home Phone Cell: ' Work Phone Fax E-Mail: (t� l l Agent's Name: Address: Home Phone Cell: Work Phone Fax E-mail Owner's NameC.1C l � Yr« tl�' Address Sha2✓Z /kawe{ `i A, f /•� Home Phone Cell Work Phone Fax sig-2.3a -1s63o E-mail 2 Site Plan Review application-Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Site Development Data Area /Type Existing sq. ft. Proposed Total sq. ft. Addition sq. ft. A. Building footprint H3993 L/ 39g B. Detached Garage C. Accessory Structure(s) D. Paved, gravel or other hard surfaced area 21s(o //`?.00 Sb O E. Porches/Decks F. Other G. Total Non-Permeable [Add A-F] t 15-q 5-g 9 H. Parcel Area [43,560 sq. ft. /acre] (o _/y, 3 � Lf, y. 3 _7y.a I. Percentage of Impermeable Area of Site [I=G/H] Setback Requirements Area Required Existing Proposed Front [1] G_ Front [2] Shoreline Side Yard [1] Side Yard [2] Rear Yard [1] n p P} 6 3 ♦— Rear Yard [2] r+ Travel Corridor 1 1� Height[max] Permeability No. of parking spaces 3 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Additional Proiect Information 1. Will the proposal require a Septic Variance from the Town Board of Health? p 2. If the parcel has previous approvals, list application number(s): 8 W Pen,;.-,- CZ-5-0 o -,�Q 1 � 3. Does this project require coverage under the New York State Pollutant Discharge Elimination System (SPDES) Permit Program ? M 0 / /- 4. Estimated project duration: Start Date / o $ End Date 5. Estimated total cost of project: 6 4 a 0 0L / 6. Total area of land disturbance for project: 4 — Floor Area Ratio Worksheet FLOOR AREA RATIO (FAR) -- The relationship of building size to lot size, derived by dividing the total building floor area by the lot size in square feet, yielding a percentage. Zoning District Symbol Floor Area Ratio [FAR] Waterfront Residential WR 0.22 Commercial Moderate/Intensive CM/ CI 0.3 A. The combined area of all square footage, as measure from exterior walls of all structures on the property, including all floors of the structures, garages, basements and attics with more than five (5) feet of ceiling height and covered porches. Building square footage does not include: Open deck, docks and that portion of covered docks extending over water and one storage shed of one hundred twenty (120) square feet or less. Any additional sheds will be included. (See "FLOOR AREA RATIO"). B. Commercial or industrial: the total area in square feet as measured from the exterior of the outside walls of a building or structure, and when applicable, the sum total of all floor areas of the principal and accessory buildings or structures on the project site. A. Parcel Area sq. ft. B. Existing Floor Area sq. ft. [see above definition] J C. Proposed Additional Floor Area sq. ft. D. Proposed Total Floor Area sq. ft. E. Total Allowable Floor Area _ (Area x ) [see above table] *If D is larger than E. a variance or revisions to your plan may be needed. Consult with Staff. 4 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 § 179-9-080 Requirements for Site Plan Approval. The Planning Board shall not approve a Site Plan unless it first determines that such site plan meets the following Standards. Please prepare responses to each of the following topics: STANDARDS A, The proposed project furthers or is consistent with the policies of the Town's Comprehensive Plan. jl B. The proposed project complies with all other requirements of this Chapter,including the site plan review standards as set forth in Paragraph F of this section,the dimensional,bulk and density regulations of the zoning district in which it is proposed to be located(Article 3 and Table 1),the applicable requirements of all other Articles that apply. _��jj C The site plan encourages pedestrian activity internally and,if practicable,to and from the site with pedestrian paths or Inks connected to adjacent areas. N/sk D. The site plan must conform to Chapter 136 Sewage and Sewage Disposal,Chapter 147 Stormwater Management Local Law,and other applicable local laws. yC S E. The proposed use shall be in harmony with the general purpose or intent of this Chapter,specifically taking into account the location, character and size of the proposed use and the description and purpose of the district in which such use is proposed,the nature and intensity of the activities to be involved in or conducted in connection with the proposed use and the nature and rate of any increase in the burden on supporting public services and facilities which will follow the approval of the proposed use. Y{C F. The establishment,maintenance and operation of the proposed use will not create public hazards from traffic,traffic congestion or the parking of vehicles and/or equipment or be otherwise detrimental to the health,safety or general welfare of persons residing or working in the neighborhood or to the general welfare of the town. Traffic access and circulation,road intersections,road and driveway widths and traffic controls will be adequate. G G. Off-street parking and 19oading facilities will be appropriately located and arranged and sufficient to meet traffic anticipated to generated by the new use. The establishment of vehicle links between parking areas of adjacent properties are provided where feasible. This furthers the Town's goal of reducing curb cuts and reducing congestion. A twenty-foot wide connection is required. If adjacent properties are either undeveloped or previously developed without having made provision for future linkage,then a future connection must be identified and provided for in the site plan under review for such future linkage when the time arises. The Planning Board may require proof that the applicant has made contact with adjacent property owners for purposes of coordinating linkages with adjacent properties. e S H. The project shall not have an undue adverse impact upon the natural,scenic,aesthetic,ecological,wildlifq historic,recreation or open space resources of the town or the Adirondack Park or upon the adequate provision of supporting facilities and services made necessary by the project,taking into account the commercial,industrial,residential,recreational or other benefits that might be derived from the project. In making the determination hereunder,the Planning Board shall consider those factors pertinent to the project contained in the development considerations set forth herein under§ 179-9-080 of this Chapter,and in so doing,the Planning Board shall make a net overall evaluation of the project in relation to the development objectives and general guidelines set forth in§ 179-9-080 of this Article. Ye-( 1. The provision for and arrangement of pedestrian traffic access and circulation,walkway structures,control of intersections with vehicular traffic and overall pedestrian convenience shall be safe and adequate for pedestrian movement. Pedestrian connections between adjacent sites shall be provided to encourage pedestrian use. J Stormwater drainage facilities will prevent an increase of post development drainage flows as compared to pre-developm t claiage flows. Drainage of the site shall recharge ground water to the extent practical. Surface waters flowing off-site shall not degrade any streams or aversely affect drainage on adjacent properties or public roads. Facilities shall he in conformance with the d inage standards of Chapter 147 of the Town Code and the Town of Queensbury Subdivision Regulations where applicable. K. The water supply and sewage disposal facilities will be adequate and will meet all applicable and current requirements set forth by Department of Health regulations and Chapter 136 of the Town Code. U�f 1J The adequacy,type and arrangement of trees,shrubs and other suitable plantings,landscaping and screening shall effectively provide a visual and/or noise buffer between the applicants and adjoining lands,including the maximum retention of existing vegetation and maintenance,including replacement of dead or deceased plants. V vc M. Fire lanes,emergency zones and fire hydrants will be adequate and meet the needs and requirements of emergency service providers. �, I N. The design of structures,roadways and landscaping in areas susceptible to ponding,flooding and/or erosion will minimize or avoid such impacts to the maximum extent practicable. N !P, Q. The site plan conforms to the design standards,landscaping standards and performance standards of this chapter. y,.c s Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 § 179-9-050 Checklist-Application for Site Plan Review. Application materials and site plan shall include sufficient information for the Board to review and provide a decision. The applicant is to provide a site plan drawing and all attachments that address items A-V. The applicant may request a waiver from A-V and is to provide reasons for waiver(s)requested. Please label information to be submitted. REQUIREMENTS Sheet# A. A vicinity map drawn at the scale that shows the relationship of the proposal to existing community facilities which affect or serve it,such as roads,shopping areas,schools,etc. The trap shall also show all properties,identify owners, subdivisions,streets and easements within 500 feet of the property. Such a sketch may be superimposed on a United States (7q Geological Survey map of the area `'7 B. The site plan shall be drawn at a scale of forty feet to the inch(I"=40 feet)or such other scale as the Planning Board may % � deem appropriate,on standard 24"x 36"sheets,with continuation on 81/2"x 11"sheets as necessary for written information. The information listed below shall be shown on the site plan and continuation sheets. C. Name of the project,boundaries,date,north arrow,and scale of the plan. r� f D. Name and address of the owner of record,developer,and seal of the engineer,architect or landscape architect. If the f - a�plicarr 7S not are owner,a letter of auttlprization shal� uired fro"e owner. E The location amuse of a�l existing and proposed structures within the property,including all dimensions of height and f/r n� floor area,all pxtpfior entrances,and all anticipated future additions and alterations. Y J" F. The location o{all present and proposed public and private ways,off-street parking areas,driveways,outdoor storage areas, sidewalks,ramps,curbs,paths,landscaping,walls and fences. Location,type and screening details for all waste disposal P 3 containers shall also be shown. r G The location,hegight,intensity and bulb type(sodium,incandescent,etc.)of all external lighting fixtures. The direction of u�f�Fnaziyn anlmethods to eliminate are onto all fining p p lies must also be shown in compliance with§ 179-6-020. ^ //� 'H. a location,height,size,materials andesign of all proposed signs. !„' 1 The location of all present and proposed utility systems including: /)� 1. Sewage or septic system; �tl 2. Water supply system; 3. Telephone,cable and electrical systems;and 1/ 4. Storm drainage system including existing and proposed drain lines,culverts,catch basins,headwalls,endwalls, hydrants,manholes and drainage swales. J Plans to prevent the pollution of surface or groundwater,erosion of soil both during and after construction,excessive runoff and flooding of other properties,as applicable. A Stormwater Pollution Prevention Plan(SWPPP)for all land development JJ activities(excluding agricultural activities)on the site that results in land disturbance of one acre or more. A S WPPP shall I^ comply with the requirements of the DEC SPDES MSA General Permit and Chapter 147 of the Town of Queensbury `�`t' Code. It shall be at the discretion of the Planning Board as to whether a S WPPP or an erosion and control plan shall be required for a site plan review project land disturbance of less than one acre. K. Existing and proposed topography at two-foot contour intervals,or such other contour interval as the Planning Board shall allow. All elevations shall refer to the nearest United States Coastal and Geodetic Bench Mark. If any portion of the parcel is within the 100-year floodplain,the area will be shown and base flood elevations given. Areas shall be indicated within the proposed site and within 50 feet of the proposed site where soil removal or filling is required,showing the approximate volume in cubic yards. I, A landscape plan showing all existing natural land features than may influence the design of the proposed use such as rock outcrops,stands of trees,single trees eight or more inches in diameter,forest cover and water sources and all proposed /1 changes to these features,including sizes and types of plants. Water sources include ponds,lakes,wetlands and 1V watercourses,aquifers,floodplains and drainage retention areas. M. Land Use District boundaries within 500 feet of the site's perimeter shall be drawn and identified on the site plan,as well as any Overlay Districts that apply to the property. 6 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 REQUIREMENTS (CONTINUED) Sheet # N Traffic flow patterns within the site,entrances and exits,loading and unloading areas,as well as curb cuts on the site and within 100 feet of the site. The Planning Board may,at its discretion,require a detailed traffic study for large developments or for those in heavy traffic areas,which shall include: - 1. The projected number of motor vehicle trips to enter or leave the site,estimated for weekly and annual peak hour traffic levels; 2. The projected traffic flow pattern including vehicular movements at all major intersections likely to be affected by the proposed use of the site; 3. The impact of this traffic on levels of service on abutting public streets and at affected intersections. Existing and proposed weekly and annual peak hour traffic levels and road capacity levels shall also be given. O. For new construction or alterations to any structure,a table containing the following information shall be included: 1. Estimated area of structure to be used for particular purposes such as retain operation,office, Storage,etc.; 2. Estimated maximum number of employees; 3. Maximum seating capacity,where applicable;and 4. Number of parking spaces existing and required for the intended use. P. 1. Floor Plans. 2. Elevations at a scale of one-quarter inch equals one foot(1/4"=1 foot)for all exterior facades of the proposed structure(s) n and/or alterations to or expansions of existing facades,showing design features and indicating the type and color of materials IRS to be used. Q Soil logs,water supply well and percolation test results,and storm water runoff calculations as needed to determine and mitigate project impacts. R Plans for disposal of construction and demolition waste,either on-site or at an approved disposal facility. S. Plans for snow removal,including location(s)of on-site snow storage. T An Environmental Assessment Form("EAF")as required by the SEQRA regulations,with Part I completed by the Applicant shall be submitted as part of the application. If the proposed project requires a special use permit and an EAF has been / submitted in conjunction with a special use permit application,a duplicate EAF is not required for the site plan application. / U. If an application is for a parcel or parcels on which more than one use is proposed,the applicant may submit a single application for all such uses,provided the proposed uses are accurately delineated on a site plan drawn pursuant to the requirements set forth above. The Planning Board may grant the application with respect to some proposed uses and not others. For purposes of reviewing an application(and for SEQRA compliance)all proposed uses on a single parcel or on contiguous parcels shall be considered together. V. A brief narrative statement on how the project proposed for review furthers or is consistent with the vision,goals and policies 5_11 � I in the Town's Comprehensive Plan. 7 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Town of Queensbury Site ^Plan Pre-Submission Conference Form / Section 179-9-040 1. Applicant Name: 02 G l e n U 2. Tax Map ID 5��. �— ��--��--I Location: 3. Zoning Classification lam` 4. Reason for Review: Pn\Y)SE% 47 r0AUe(+ 0vr1)o/lC��`�t`IV-tty'1� 5. Zoning Section #: ( cl—3-0\40 t, GS a 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by Deed General Information complete c L_ Site Development Data Complete J M( It f CJ Setback Requirements Complete Additional Project Information Complete FAR addressed S Requirements for Site Plan-Standards Checklist items addressed LJ�e Vr^ I c fe Environmental Form completed Signature Page completed l_ � 1C fi�l�(I�O.SPS v U A (✓ A-eAty l a e K PK'kv�t r, elf. C \Je/ U/1 © i , t a r t✓r�C cr �1- P(7J e `t oC c 1F1! (,1 CC1mrylP'a 1 C / /1 �,s�v 70/1 e 'd�S e��t.V Ar,A Ct ^4- (s Gr Pet L4(/lc� V I CL Ose ()r. 1 Lk Of Ck 1A_) tles�_J P r. d n ,lCt/1 Y O rwHiQ_ 14/✓1 S /llJne L/l 4662 , G nU ?- P.6ea9c plc f Staff Representative: �y Applicant/Agent: Date: �1\A I 8 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Signature Page This page includes the 1.)Authorization to Act as Agent Form: 2.)Engineering Fee Disclosure;3.) Authorization for Site Visits;4.) Other Permit Responsibilities;5.)Official Meeting Disclosure and 6.)Agreement to provide documentation required. OWNER'S AGENT FORM: Complete the following if the OWNER of the property is not the same as the applicant Owner: St(-2Q M60af V Designates: _I&LI LLI A M M 1 NeYZ As agent regarding: Variance Site Plan _Subdivision For Tax Map No.: ,jection _Block Lot Deed Refe ce: �t e ook ��Page t�/ilh Date OWNER SIGNATURE:��, 1 DATE: d' APPLICANT'S AGENT FORM: Complete the following if the APPLICANT is unable to attend the meeting or wishes to be represented by another party: Owner: Designates: As agent regarding: Variance _Site Plan Subdivision For Tax Map No.: Section _Block Lot Deed Reference: Book Page Date OWNER SIGNATURE: DATE: 2.) ENGINEERMG FEE DISCLOSURE: Applications may be referred to the Town consulting engineer for review of septic design, storm drainage,etc.as determined by the Zoning or Planning Department. Fees for engineering review services will be charged directly to the applicant. Fees for engineering review will not exceed$1,000 without notification to the applicant. 3.1 AUTHORIZATION FOR SITE VISITS: By signing this page and submitting the application materials attached herein,the Owner,Applicant, and his/her/their agent(s)hereby authorize the Zoning Board or Planning Board and Town Staff to enter the subject properties for the purpose of reviewing the application submitted. 4.1 OTHER PERMIT RESPONSIBILITIES: Other permits may be required for construction or alteration activity subsequent to approval by the Zoning Board or Planning Board. It is the applicant's responsibility to obtain any additional permits. 5.) OFFICIAL MEETING MINUTES 7ISCLOSIJRE: It is the practice of the Community Development Department to have a designated stenographer tape record the proceedings o{meetings resulting from application, and minutes transcribed from those tapes constitutes the official record of all proceedings. 6.) AGREEMENT TO PROVH1f�,DOCUMENTATION REOUIRED: 1,the undersigned,have thoroughly read and understand the instructions for submission and agree to the submission requirements,I acknowledge no construction activities shall be commenced prior to issuance of a valid permit. I certify that the application,plans and supporting materials are a true and complete statement/description of the existing conditions and the work proposed, and that all work will be performed in accordance with the approved plans and in conformance with local zoning regulations. I acknowledge that prior to occupying the facilities proposed,I or my agents,will obtain a certificate of occupancy as necessary. I also understand that I/we may be required to provide an as-built survey by a licensed land surveyor of all newly constructed facilities prior to issuance of a certificate of occupancy I have read and agree to the above. Signature[Applicant] Print Name[Applicant] Date signed Signature [Agent] Print Name [Agent] Date signed 9 Site Plan Review application—Revised October 2016 Town of Queensbury Planning Office-742 Bay Road,Queensbury,NY 12804 Short Environmental Assessment Form Part I - Project Information Instructions for Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: l (.0 4, t� 2. Project Location(describe,and attach a location map): �iA�G yt't Brief Description of Proposed Action: 1 �/ "Altllw l Name of Applicant or Sponsor: I Telephone: $-I /Div� E-Mail: �� ✓�`""J'fC�_ �1�60 Address: City/PO: State: Zip Code: �,/ 1.Does the proposed action only in the legislative adoption of a plan, local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: Dt� 1 4 � U2e J2 � 0 3.a.Total acreage of the site of the proposed action? _j acres b.Total acreage to be physically disturbed? 6_ft--acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 33 acres 4. Check all land uses that occur on,adjoining and near the proposed action. F]Urban [:]Rural (non-agriculture) E]Industrial ,Commercial 0a esidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): []Parkland Page 1 of 3 5. Is the proposed action, I NO YES N/A a.A permitted use under the zoning regulations? I ❑ ® ❑ b.Consistent with the adopted comprehensive plan? I ❑ ❑ I 6. Is the proposed action consistent with the predominant character of the existing built or natural YES I landscape? I ❑ MI 1 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES 1 If Yes,identify: 109 ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 1 IN ❑ b.Are public transportation service(s)available at or near the site of the proposed action? c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ Eg 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: T 11.Will the proposed action connect to existing wastewater utilities? NO IYEE IS If No,describe method for providing wastewater treatment: El �I 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES 1 Places? IM ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain I NO YES I wetlands or other waterbodies regulated by a federal,state or local agency? IJK EJ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban El Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? I 1991 ❑ 16.Is the project site located in the 100 year flood plain? INO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? If Yes, ❑ a.Will storm water discharges flow to adjacent properties? ' [:]YES YES b.Will storm water discharges be directed to established conveyance systems(&poff and storm drains)? If Yes,briefly describe: 1 �NO ❑YES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed I NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES I completed)for hazardous waste? If Yes,describe: F ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE , 1 , h Applicant/sponsorname: W`r'ti! l p+"'� rlvt r Date: go Signature: V PRINT FORM Page 3of3 Agency Use Only[If applicable) Project: Date: Short Environmental Assessment Form Part 2 -Impact Assessment Part 2 is to be completed by the Lead Agency. Answer all ofthe following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning 1:1 1 regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ro ❑ 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the t establishment of a Critical Environmental Area(CEA)? ❑ 5. Will the proposed action result in an adverse change in the existing level of traffic or k affect existing infrastructure for mass transit,biking or walkway? Qq ❑ 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate �[ ❑ reasonably available energy conservation or renewable energy opportunities? IBJ 7. Will the proposed action impact existing: F ❑ a.public/private water supplies? LTJ b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, El or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, Elwaterbodies,groundwater,air quality,flora and fauna)? JC 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage r1mElproblems? LN 11. Will the proposed action create a hazard to environmental resources or human health? ly I ❑ PRINT FORM I Pagel oft Agency Use Only[if applicable] Project: Date: l Short Environmental Assessment Form Part 3 Determination of Significance For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3.Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting, probability of occurring,duration, irreversibility,geographic scope and magnitude. Also consider the potential for short- term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ❑ Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT FORM I Page 2 oft Use Variance Request I,Starr Baker,owner of the Baker Funeral Home located at 11 Lafayette Street, recently purchased adjoining properties of 2,4,and 5 Glendale Drive with the intent of housing intern funeral directors by creating more apartments in the existing 2 Glendale Drive building. I purchased 4 and 5 Glendale knowing they were already existing single family houses. I purchased 2 Glendale in good faith, knowing there was three existing apartments,one without income,and two with existing rental income. Innocently or perhaps ignorantly enough, I proceeded to renovate one of the existing apartments and was informed I needed a Use Variance Permit. I was baffled why I needed a Use Variance Permit when 2 Glendale tax records and property description states the use is apartments,and apartments is what I already have, but the town is stating it is deemed 1440LIateasitfCommercial lase- My understanding is a Use Variance may be granted when the existing zoning has created an unnecessary hardship for the owner. I believe this is the case. When I purchased this property,the only thing existing was a deserted apartment in the lower back section, and two existing apartments that have been functioning as homes for tenants for as long as the previous owner can remember,and a deserted boarded up store front that has been vacant since the 80's.This building was full of trash and literally infested with large rodents.The grounds were also trashed and severely overgrown. I immediately spent over$15,000.00 to remove trash inside and out,fought the rodent issue,and brought the grounds up to substantial enjoyment, along with more expenditures addressing safety issues such as broken windows; unsanitary counter tops;asbestos,fire,and electrical concerns. I have a mortgage held by the previous owner of$2,975 a month. I no longer have the income of$950 a month from the one apartment due to the Stop Work Order,and only have$950 a month from the existing apartment. I have land and school taxes totaling over$4,000 a year, mandatory Insurance due to the mortgage of $2,100 a year;water and sewer averaging$550 a quarter, and gas and electric bills averaging$400 a month, bringing my total expenditures to over$4,000 a month with only$950 a month income. With the existing square footage, if I would be able to put back the renovated apartment,the abandoned apartment,and add 2 more apartments, it could generate over$5,000 a month income ridding an unnecessary hardship. . I am not asking for a variance to change this property. I am asking to keep it what it is,along with what the rest of the bordering properties are; family housing. I am asking to keep the two apartments, renovate the deserted apartment,and add a couple more apartments,to the existing vacant square footage. I entertained the idea of selling the property as is, but because it is off Glen Street,the property value is substantially less,and less desirable for commercial value reaping a much lower one time income value, versus rental income. Also a commercial entity would increase traffic which would create yet another problem of public safety to the other existing residential families living on this street.This too adds to the unnecessary hardship. OVI- Another option I considered was to tear down and build new but after reviewing the expense and time to acquire permits and rebuild now with a substantially greater mortgage,this too was unrealistic. The existing zoning regulations and restrictions have caused an unnecessary hardship. I am asking for your time and consideration to reevaluate this property and allow the 50 plus year old grandfathered apartments to continue and to be able to utilize the existing vacant square footage to also be living space since it is in an already existing residential family dwelling area. I have no reasonable use of this property without this variance. 0.1. a-n kvLA--o-,/ - -cL�n-e-A— Vca-c(c)L, S Co,� �/�Lo ttSeS su CLS LT 5 Lk-cl. u S CW o�.�-�c� (--P- u-1 ` Q o Ob O. aU ��x� x}ai �v. o� lVZ l tpis 4-�' C l�lnc.r z�S L ! i w wS 't `-e4 e S t-It e 5 4 s` tn�55 eZ� � L 1 e v ela.-1 �o CL, (oma c� c�, o S 11, w< <`� Q w �8LLko ;, �sQv�� h c�v�S '7-u t �C ec�m0 ' � /D o �� Uw hw- �j 5 A �� . I t�u Z-r- . be, a if cc S 6r 0 � 5�� (uAt (/v-,-J4, rv � � CSS 6L- 1)u-5 `-",e-55 -Fo Cor�vcA Lk SQ 35S � a• �c� i � kt / CL Queensbury Office I UL 63 Quaker Road Queensbury, NY 12804 518.798.3636 howardhanna.com Real Estate Services November 6,2017 �� Tfi^— MEMO FROM: Stephen Borgos, Licensed Associate Real Estate Broker, Howard Hanna Real Estate Services 'Li TO: William Miner RE: 2 Glendale Avenue,Queensbury, NY Thank you for your phone call requesting that I provide my written opinion regarding the value of the property at 2 Glendale Avenue if used for commercial purposes. As you know, location is a major factor in every real estate situation,whether residential or commercial. In the "old" days,when Queensbury hadn't really developed its explosive growth,the former Evelyn's Florist was the only game in town, and with limited signage along route 9, it was able to flourish. Once development took over, roads were widened, competition increased and Queensbury changed from a suburb of Glens Falls into its own economic center,most people forgot about Evelyn's and probably even forgot about Glendale Avenue._Retail business,in fact almost any commercial enterprise that relies on visibility to the general public,must have frontage on a main road. Property along Glendale Avenue is no longer nearly as attractive for commercial use as it once was. Glendale Avenue does have abundant electric power, natural gas, municipal water and sewer. It has existing residential uses and it seems that additional residential use would be appropriate if permitted by the zoning regulations. I hope that this satisfies your request. >3 howardhanna.com WARREN COUNTY-STATE OF NEW YORK nu - eye PAMELA J.VOGEL, COUNTY CLERK 1340 STATE ROUTE 9, LAKE GEORGE,NEW YORK 12845 g1gAw`u�� COUNTY CLERK'S RECORDING PAGE " THIS PAGE IS PART OF THE DOCUMENT—DO NOT DETACH"* Recording: Cover Page 5 .00 RecorinralgEdee 14 00 cultu Records Management - Coun 1.00 Records Management - Stat 4.75 Additional Names 0. 50 BOOK/PAGE: 5540 / 195 Cross References 0. 50 INSTRUMENT #: 2017-2400 TP584 5 .00 RP5217 Residential/Agricu 116.00 Receipt#: 2017429309 RP5217 - County 9.00 Clerk: CL Rec Date: 04/12/2017 02 :16:00 PM Sub Total : 206.00 Doc Grp: RP Descrip: CORRECTION DEED Transfer Tax NumPgs: 7 Transfer Tax - State 0.00 c Red Frm: COMMUNITY TITLE AGENCY Sub Total : 0.00 Partyl: MURRAY META R IND/EXTR Partyl : CKT ENTERPRISES LLC Town: QUEENSBURY Total : 206.00 **** NOTICE: THIS IS NOT A BILL **** ***** Transfer Tax ***** Transfer Tax #: 1963 Transfer Tax Consideration: 0.00 Total : 0.00 WARNLNG*** I hereby certify that the within and foregoing was recorded in the Warren County Clerk's Office, Record and Return TO: State of New York. This sheet constitutes the Clerks endorsement required by Section 316 of the Real Property Law of the State of New York. CLEMENTS FIRM PO BOX 598 Pamela J. Vogel GLENS FALLS , NY 12801 Warren County Clerk CORRECTION DEED \� WARRANTY DEED WITH LIEN COVENANT THIS INDENTURE made the i I LIday of Apv i I 2017, between META R. MURRAY, individually and as executor of the Last Will and Testament of George B. Pfeiffer, 25 Owen Avenue, Queensbury, New York 12804, as party of the first part, and CKT Enterprises, LLC, a New York Limited Liability Company having its principal office at 828 Wall Street, Diamond Point, New York 12824 , party of the second part, WITNESSETH, that the party of the first part, in consideration of One Dollar ($1.00) lawful money of the United States and other good and valuable consideration paid by the party of the second part, do hereby grant and release unto the party of the second part, its successors and assigns forever, ALL THOSE PARCELS OF LAND in the Town of Queensbury, County of Warren and State of New York known as 2 Glendale Drive (tax map no. 302.7-1-24), 4 Glendale Drive (tax map no. 302.7-1-25) and 5 Glendale Drive (tax map no. 302.7-1-27), being more particularly described in the annexed Schedule A. 2 Glendale Drive (302.7-1-24) BEING the same premises as described in 3 deeds from Richard O. Mead to George B. Pfeiffer all dated January 29, 1985 and recorded in Warren County Clerk's Office on February 1, 1985 in Book 668 of Deeds at Pages 326, 328 and 330 respectively. 4 Glendale Drive (302.7-1-25) BEING a portion of the premises conveyed by Glens Falls National Bank and Trust Company and Henry J. Metzner as executors of the Last Will and Testament of Blanche E. Turner to George Pfeiffer and Meta R. Murray by deed dated September 30, 1985 and recorded in the Warren County Clerk's Office on October 2, 1985 in Book 675 of Deeds at Page 187. 5 Glendale Drive (302.7-1-27) BEING the same premises as described in 2 deeds from Richard O. Mead to George B. Pfeiffer both dated January 29, 1985 and recorded February 1, 1985 in C3 the Warren County Clerk's Office in Book 668 of Deeds at Pages 324 and 332 respectively. 4� c Wj N K� m r' w � 1 o rnZ F a C p d) 3 n � F6o _ Mme ._ Eta LD George B. Pfeiffer died on February 8, 1991, and Meta R. Murray was duly appointed by the Warren County Surrogate's Court as the Executor of the Last Will and Testament of George B. Pfeiffer and is the sole beneficiary of his estate. Together with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above-described premises, to the centerline thereof. Together with the appurtenances and all the estate and rights of the party of the first part in and to said premises. To have and to hold the premises herein granted unto the party of the second part, its successors and assigns forever. And said party of the first part covenants as follows: First, that the party of the second part shall quietly enjoy the said premises; Second, that said party of the first part will forever warrant the title to said premises. Subject to the trust fund provisions of Section Thirteen of the Lien Law. IN WITNESS WHEREOF, the party of the first part has duly executed this deed. –C � A _4Meta R. Murray, Individua nd as Executor of the Last Will and Testamen of George B. Pfeiffer STATE OF NEW YORK ) ss.: COUNTY OF WARREN ) On the lt�— day of 2 .� in the year 2017 before me, the undersigned, personally appeared META R. MURRAY, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. �^ � )_ �l�n 480453 / ^ Notary Public J NANCY ACOON ►OTARY PUBLIC.STATEOF GUAUFIED IN WASHINriTON NTY 2 IS$oN EXPI- 6 CKT Enterprises, LLC STATE OF NEW YORK ) ) ss.: COUNTY OF WARREN ) On this the // day of ,�✓� in the year 20 before me, the undersigned a Notary Public in and for said State, personally appeared: personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, or the person upon behalf of whi the i dividual acted, exe ted t instrument. Notary Publi ,TVAOMXs G�GWAIE�� 140. robot vN+ �. ,g This deed is being re-recorded to correct the Schedule A Description in a deed from Meta R. Murray to CKT Enterprises, LLC dated 03/23/17 and recorded on 03/23/17 in the Warren County Clerk's Office in Liber 5527 Page 297. ( ) 3 Schedule A— Description 302.7-1-24: All that tract or parcel of land situate, lying and being in the Town of Queensbury, County of Warren and State of New York, bounded and described as follows: BEGINNING at an iron pipe in the ground in the northwesterly bounds of lands conveyed by Andrew R. Butz and Frances D. Butz by warranty deed dated November 1963 to Tufflite Plastics, Incorporated, which deed was recorded in the Warren County Clerk's Office on December 4, 1963 in Book 436 of Deeds at Page 316, said point of beginning being the most easterly corner of lands of one Sullivan, running from thence N 420 29' W along the northeasterly bounds of the said lands of Sullivan 73.25 feet to an iron pipe in the ground in the southeasterly bounds of lands of the Glens Falls National Bank and Trust Company; thence running N 48° 52' E along the southeasterly bounds thereof 85.16 feet to a point at the most westerly corner of lands now or formerly of S.O. Turner; thence running S 430 24' E along the southwesterly bounds of the said lands of S.O. Turner 69.68 feet to an iron pipe in the ground at the most northerly corner of the said lands conveyed to said Tufflite Plastics, Incorporated; thence running S 460 27 W along the northwesterly bounds thereof 86.24 feet to the point and place of beginning, containing 0.141 of an acre, be the same more or less. Bearings given in the above description refer to the magnetic meridian as of November 27, 1963. Also, all that tract or parcel of land situate, lying and being in the Town of Queensbury, County of Warren and State of New York, bounded and described as follows: BEGINNING at a point in the northerly line of the private road otherwise known as Glendale Drive in the Town of Queensbury and at the most easterly corner of a parcel of land conveyed by Harris G. Eddy and Edith R. Eddy, his wife, to Edith R. Eddy by deed dated May 16, 1924 and recorded in the Warren County Clerk's Office on May 24, 1924 in Book 160 of Deeds at Page 294; running thence in a northwesterly direction along the northeasterly line of the premises described in said deed 70 feet, be the same more or less, to the southeasterly line of a parcel of land conveyed by Harris Eddy and Edith Eddy to Rose O. Eddy and Carrie H. Eddy by deed dated September 14, 1920 and recorded in the Warren County Clerk's Office on August 25, 1921 in Book 149 of Deeds at Page 310; running thence in a northeasterly direction along the southerly line of the premises described in the said deed last mentioned 25 feet to the most easterly corner thereof; thence continuing in the same direction to the westerly line of lands conveyed by deed of Marshall B. Seelye to Sovair O. Turner dated February 21, 1948 and recorded in the Warrerl County Clerk's Office in Book 262 of Deeds at Page 270; thence running southeasterly 70 feet to the northerly line of the private road hereinbefore mentioned; thence running in a southwesterly direction along said road 112 feet to the place of beginning; said premises having 112 feet front and rear and 70 feet on each of the two remaining sides. Also, all that piece or parcel of land situate in the Town of Queensbury, County of Warren and State of New York, bounded and described as follows: BEGINNING at an iron pipe located at the northerly corner of the lands to Glens Falls National Bank and Trust Company by Dennis B. Sullivan by deed dated March 16, 1970 and recorded in Book 519 of Deeds at Page 526 in the Warren County Clerk's Office which point is also the westerly comer of the lands now or formerly of Pfeiffer and Mead, thence South 48° 55' West two feet to a point; thence South 420 26' East 71.25 feet to a point; thence South 49° 00' 30" West 23 feet to a point; thence South 420 26' East two feet to an iron pipe; thence North 490 00' 30" East 25 feet along the boundary of the lands now or formerly of Pfeiffer and Mead to a point; thence North 420 26'West 73.25 feet also along the boundary of lands now or formerly of Pfeiffer and Mead to the place of beginning. RPS Property Description Report Page 1 of 3 Queensbury 302.7-1-24 * 2 Glendale Dr -J Parcel Information: �] arcel Location , cres [Property Class J!School District Ward 002.7-1-24 112 Glendale Dr J 0.33 J1411 -Apartment IlQueensbury Un.fr.sd (IWard 2 Owner Information: Q Owoer ilOwner Address 10.0.Box 110wner Address Line 3 �I JCKT Enterprises, LLC 11828 Wall St 11 IlDiamond Point NY 12824 2017 Assessment Values: (Previous Assessments) I] J arcel 1IA sensed Land Value IIAssessed Total Value ICQniform % JIFull Market Value 1I 1302.7-1-24 166,500.00 11181,600.00 11100.0% 11181,600.00 J CD.� Images: i]1 . _ Ia Of Lal rtl 1 1 atze Date: 6/7/2013 Sales Information: Q ale nd et Sale Sale Cond. Hen. 8In ot. Value Prior I� Date al rice I oo Pa a -_ I Code I TOS I OS I Owner N 04- �YJ'� Murray, J 1- 10.00 10.00 ( 540 195 Land in I I� II I600.00 I & uildig " , Execs 17 Meta R 03- 193,540.005527 297 and& of o 181,600.00 May. 23 11193,540.00 I I Ulldmg Irfarrantyl� 1166,500.00 11 Indiv& t1}�.,•IIT9MPtCPAMt1 nnPPneMiry nPt/RPC iNF02.ASP`?nrintkev=302.7-1-24 8/22/2017 A Property Description Report Page 2 of 3 II II II I I I) I ( IlExecutor, Meta R Site Information: [] Site bad Site bad bad oad En Zomn Code 1 Sewer Water I Utilities Desire T e I atin 11R e I T e I Code it 102 >sy public public Comm/ bias& it it 1 I) �seeo IICI our f Elec P I0 Land Information: Site# I Land# ftwe ILFront jjla th Cres S Ft II1 JI 1101-Primary IIo J10 110.33 Ito Residential Building Information: Commercial Building Information: Site Bld ection Boeck Model r Gross BId Stone Wall A Wall all C II IBuilt 1 loor P ire in► 1�% I B% II III 11 112 sly load supre/apts 111970 1113962 1244 1`' II111100 IIO 1 I0 11 111 112 11' sty warehouse 111970 114 436 160 11, 11100 110 11 wood mill I Improvements Information: c-3 Site# Struct Code ) im 1 im 2 S FT #�Constr G_r_ade, IlOverall Cond J Yr Built 11 I�P4-Porch-enclsd 10 110 140 1 JjAverage IINormal 111986 1 11 11CP5-Canpy-roof 110 110 11316 111 conomy J1Normal JI1950 I P Special District Information: ISDecial District IIUnits 'ITaxable II 1EM001-Emergency medical 110 11181600 (I 1FP007-Fireprotection �10181600 IIB001-Crandall library dst IIO 11181600 1LT010-Queensbury lighting 110 11181600 ISE025-Qby Consolidated SSD 117 SIO WT013-Queensbury water 110 11181600 Exemption Information: J Permit Information: Permit Number IlPermit Date 11Permit Use IlCost Estimate �I http://parcelsearch.queensbury.neV"S_fNF02.ASP?printkey=302.7-1-24 8/22/2017 2S Property Description Report Page 3 of 3 IP20030372 1106-02-03 11Sign(The Glass Shop) 110.00 IP95-1789 1106-12-95 IlTemporary sign 10.00 IP1547 1111-18-71 I1Greenhouse 115,000.00 1 IPI 185 1105-13-71 IlGreenhouse 11500.00 I C 757 1105-07-70 IlTemporary greenhouse 110.00 1 The information in the H RPS database is maintained by the Town of Queensbury Assessors Office The information provided on this website is for GENERAL REFERENCE PURPOSES ONLYand should not be relied upon in lieu of referring to officially adopled Town Codes,Local Laws or other documents available in Town Hall. httn://narcelsearch.queensbury.neUWS_INF02.ASP?printkey=302.7-1-24 8/22/2017 %2LIBENNUI1KY UNLI: SUMOUL 2017 TAXES FISCALYEAR:07/012017 t006/302018 WARRANT DATE:09/012017 I STATE AID-COUNTY: 50.00 SCHOOL: $24,929,004.00 { MAKE CHECK PAYABLE TO: BANK BILL NUMBER I I 005382 1PAGE 1 OF I CAROLINE H.BARBER TO PAY IN PERSON: PROPERTY INFORMATION: RECEIVER OF TAXES Queensbury Town Hall TAX MAP#:523400 302.7-1-24 742 BAY ROAD 742 Bay Road DIMENSION: 0.33 acres QUEENSBURY, NY 12804 Queensbury,NY 12804 RS: e t l 8:00 AM-4:30 PM ADDRESS' 2 Glendale Dr 518-761-8234 SCHOOL: Queensbury Un. PROPERTY OWNER: FULL MARKET VALUE: 181600.00 UNIFORM% VALUE: 100.00 181600 CK EnnrtSkWal'erprises,LLC ,l / I / ASSESSMENTS 0.00 (� STAR SAVING Diam int NY 824 ' y L-a H "^ (S EP2 i17 �� z Rec. _ __........._......_..........._......................._...._.._........................_......................_.._..._......_... - ........................................... 1..............._.... TAX BILL If you feel the assessment on your property is too high,you have the right to file a grievance to lower it for future tax bills. For information, please contact your assessor for the booklet "How to File a Complaint on Your Assessment" and to inquire about exemptions. Any reduction in assessment will NOT be reflected on this bill. LEVY DESCRIPTION TAX LEVY v.c"°"a`F'a" RATE I TAXABLE VALUE I AMOUNT DUE eno ra Lny �UEENSBURY SCHOOL 33230179 1 2.9000 15.82522400 181600.00 I 2873.86 TO AL TAXES DUE BY SEPTEMBER 30,2017: $2873.861 When mailing a payment,YOU MUST RETURN ENTIRE BILL.A receipt will be mailed to you. You can pay online at www.queensbur-y.net PAYMENT PERIODS From: To: Tax Amount: Penaltv: Notice Fee: Total Due: Amount Paid: Date Pail. SEP 1 SEP 30,2017 2873.86 2873.86 OCT 1 OCT 31,2017 2873.86 57.48 2931.34 NOV 1 NOV 3,2017 2873.86 86.22 2960.08 TOTAL TAXES PAID TO DATE: $0.00 I REMAINING TAXES DUE EXCLUDING ANY INTEREST OR PENALTY: $2873.86; Sel er CLOSING STATEMENT Buyer: Name: Meta R. Murray To Name: CKT Enterprises,LLC Address: 25 Owen Avenue Address: 828 Wall Street Queensbury,NY 12804 Diamond Point,NY 12824 2,4&5 Glendale Drive. Oueensbury Lot No.:302.7-1-24. 25,27 Property Contract Price $193,539.73 Less Down Payment ($ 1 5, 00.00) Less No PCDS ($ 500.00) Less Mortgage $161,539.73 Balance Due at Closing $ 30,000.00 TAX ADJUSTMENTS(as of March 23,2017)Buyer pays for the day of closing Sellers Owe Buvers Owe 2016/2017 School Tax: $ 14 � _ 7/1/16-6/30/17 3 14.9401 per day x 99 days prepaid= 1,479.07 2017 Town & County Tax:$2,305.76 1/1/17-I2/31/17 $ 6.3171 per day x 283 days prepaid= 1,787.75 March Rent 8 days 838.70 Security Deposits 3,225.00 Subtotals $ 4,063.70 $ 3,266.82 Net Adjustments 796.88 Net Sum Due Seller $222_q3-12 Seller expenses 878.85 Net net sum due Seller $27,32427 EXPENSES: SELLER BUYER Transfer Tax Stamps $ 776.00 Recording Deed $ 65.00 Capital Gains Tax Affidavit $ 5.00 Mortgage Tax $ 1,616.00 Abstracting $ 481.50 Recording Mortgage $ 85.00 Tax Search $ 112.35 E&A Report Form $ 125.00 Final Water Bill $ 504.00 Private Mortgage Affidavit $ 5.00 Title Insurance $ 1,065.75 Legal Fees $ 250.00 Total $1,878.85 Total $ 3,211.75 CKT\closing statement(for buyer) MAYNARD D BAILER FUNERAL HOME INC II LAF SPECIAL ACCOUNT / f� 657 11 LAFAYEfTE ST / QUEENSBURY,NY 12804 / so-25Sm3 Pay to the / Data Order of 1,j Bt�,,,,L✓,,) c( Gleet �a r='111.:1 � Dollars nr,ma, For l 1177! J; if Lhl./t�/GLIs �� 1:0213025541: 10879205n■ �J 0657 MAYNARD D BAKER FUNERAL HOME INC 658 SPECIALACCOUNT 11 LAFAYERE ST 50-255213 OUEENSBURV,NY 128047 3 �� 2 1 ate Pay to the �� //� �-C Orderof U 1 �Q ��e J /. /�o Do�,ars QmBalLst�W"d - ...,nb,w u : For J r 1:0213025541: LOB 79205111 0658 x21-3 NO. 00139094 1 213 BankartdTinsrcww"y DATE 03/23/17 250 GLEN STREET,GLENS FALLS,N.Y.12801-9989 P �y. } PAY EXACTLY J+vs�" CTS I++$27.324.27 OTNENTY-SEVEN THOUSAND THREE HUNDPM TWENTY-FOUR DOLLARS AND TWENTY-SEVEN CENTS aaaaa+aa+a PAY TO META R.MURRAY CASHIER'S CHECK THE ORDER OF REMITTER: CLOSING GLENDALE DR � „� 016o DSI TUNE nn5 3GS2 Ei assa LdS..uiie G5[aG.lS.!aeGL e'iG..:.au W Ga3imL�G Gab SE.Y'iiGea,uL.r. r OL3909411' I:02L3025541: 8999524111 I nls VUul:Y 15 i5bMIJI UN I HE GUUPERATIVE ASSESSMENT PLAN Pol ber: New Policy EREE AND NIAGARA MP 0007890 Your Special Multi Peril Policy INSURANCE Coverage In Plain Language Declarations: A.SSOCIATION Al InSured:CKT Enterprises LLC 8800 Sheridsa Drive • Bo:9062 11 Lafayette St Williamsville,New York 14231-9062 Queensbury, NY 12804 Agent: #0641 Hughes Insurance Agency, Inc. Phone: (518)793-3131 Policy Period: From 5/29/2017 to 5/29/2018 12:01 am Standard Time The Described Location covered by this policy is located at the above address, unless otherwise stated. Number,Street,Town or City,County,Slate,Zip Code 2 Glendale Drive Queensbury, NY 12804-Warren County This replaces all previously issued policy Declarations, if any. This policy applies only to accidents, occurrences or losses which happen during the policy period shown above. If the policy is written on a continuous basis,each period of one year ending on the annual anniversary date of this policy constitutes a separate policy period.This policy applies only to those coverages below for which a limit of liability or premium charge is shown.Our limit of liability for each coverage shall be not more than the amount stated for such coverage,subject to all the terms of this policy. Location#1 Building#1 PfODertv Coveraae Coinsurance Deductible Limits Cov.A -Building(s) 80% $2,500 $350,000 Cov. B -Business Property None None None Liability Coveraae Limits of Liabilitv Cov. L -Bodily Injury and Property Damage $1,000,000 each occurrence $2,000,000 aggregate Cov. M -Premises Medical Payments $1,000 each occurrence $25,000 each accident Cov. N -Products/Completed Operations None Cov. O -Fire Legal Liability None Cov. P -Personal Injury and Advertising Injury See Note Note:The occurrence and aggregate limits for Coverage L shall also apply to Personal and Advertising Injury. Retina Information: Construction: Frame Occupancy: LRO Piano Storage&5 Apartments Feet From Fire Hydrant: Less than 1000 Protection: Highly Protected Miles From Fire Dept: Less than 5 Subject to the followina forms and endorsements: TERR-COV(01/15) EN-TDN (01/15) ENFDE(01109) EN-PJ(2/13) LS1 (9/02) LS16D(9/02) LS187(6/07) LS1S(9/02) LS2(9/02) LS31 (9/02) LS49(9/02) LS59(9/02) LS77(9/02) LS80(7/96) LS84(10/97) LS87(7/88) LS89(9/02) MFL10(4/83) ML430(6/99) NYSTATI (11/08) SF18(7/96) SF2(1/88) SF20(1/88) SF310(1/88) SF98(1/88) HUGHES INS NCE l El`ICYf; NC j 328 BAY ROAD P.O.BOX 4638 `OUR! "``""°°` OUEENSBURY,N. 12804 ��,a�r Y.Phone(518)793-3131 Terrorism Insurance Coverage-Refer to form EN-TDN (01/15): $0.00 Subsequent payments will be due each year based on rates in effect at that time. Premium at inception: $2,058.00 ,Y. State Fire Fee: $14.88 Mortgagee(s) or Secured Party: Refer to supplemental declarations /�/1 Provisions Required by Law to be Stated in this Policy:-This Company is an Assessment Cooperative Fi Insur,n:w. r 9{ny having y-la and special regulations relating to meetings of members,election of directors,rights and obligations of members and liability of mem ars to assessment as printed on page hereof. MP-DEC(4/14) MP 0007890 CKT Enterprises LLC Policy Period:5129/2017-5/29/2018 6/1/2017 1:45 PM MRB Insured Copy CV Waste Removal Cont. Serv.Inc. 2098 St Rt 149 East Invoice Fort Ann NY 12827 518-639-5233 518-639-5255 518-746-1558 CUSTOMER CODE DATE NUMBER J 7/17/2017 7474 DELIVER TO:2 Glendale CKT Ventures 11 Lafayette St DELIVERY DATE:7-18 Queensbury NY 1 NOTE TERMS I ORDER COD QUANTITY ITEM DESCRIPTION TAX DIS PRICE EXTENSION 1 30 yd 30 yd rolloff NY 500.00 500.00 ;0 yd rolloff up to 3 ton/$80 per ton overage Subtotal $500.00 ;EE REVERSE FOR TERMS Sales tax 35.00 Thank You �l TOTAL $535.00 PLEASE DETACH AND RETURN WITH YOUR PAYMENT. THANK YOU. CUSTOMER CODE DATENUMBER J �`j PAY THIS AMOUNT 7/17/2017 7474 I I $535.00 MAKE CHECKS PAYABLE TO: PLEASE MAKE ANY ADDRESS CORRECTIONS BELOW: CV Waste Removal Cont.Serv.Inc. 2098 St Rt 149 East CKT Ventures Fort Ann NY 12827 11 Lafayette St Queensbury NY 1 CV Waste Removal Cont. Serv.Inc. 2098 St Rt 149 East Invoke Fort Ann NY 12827 518-639-5233 518-639-5255 518-746-1558 CUSTOMER CODE DATE NUMBER 7/21/2017 7493 2 Glendale CKT Ventures 11 Lafayette St Queensbury NY 12804 NOTE TERMS ORDER COD QUANTITY ITEM DESCRIPTION TAX DIS PRICE EXTENSION 1 30 yd 30 yd rolloff NY 500.00 500.00 .88 Ton Overage Tons Tonage overage Charge prev box NY 80.00 70.40 Subtotal $570.40 30 yd rolloff up to 3 ton/$80 per ton overage 3EE REVERSE FOR TERMS Sales tax 39.93 Thank You TOTAL $610.33 PLEASE DETACH AND RETURN WITH YOUR PAYMENT. THANK YOU. CUSTOMER CODE I DATE NUMBER I PAY THIS AMOUNT 7/21/2017 7493 I $610.33 MAKE CHECKS PAYABLE TO: PLEASE MAKE ANY ADDRESS CORRECTIONS BELOW: CV Waste Removal Cont.Serv.Inc. 2098 St Rt 149 East CKT Ventures Fort Ann NY 12827 11 Lafayette St Queensbury NY 12804 &Waste Removal Cont. Serv. Inc. 2098 St Rt 149 East Invoice Fort Ann NY 12827 518-639-5233 518-639-5255 518-746-1558 CUSTOMERCODE DATE NUMBER 7/21/2017 7495 2 Glendale CKT Ventures 11 Lafayette St Queensbury NY 12804 NOTE I TERMS I ORDER COD J QUANTITY ITEM DESCRIPTION TAX DIS PRICE EXTENSION 1 30 yd 30 yd rolloff NY 500.00 500.00 .76 Ton Overage Tons Tonage overage Charge prev box NY 80.00 60.80 yd ro up to 3 ton/$80 per ton overage Subtotal $560.80 EE REVERSE FOR TERMS Sales tax 39.26 Thank You TOTAL $600.06 PLEASE DETACH AND RETURN WITH YOUR PAYMENT. THANK YOU. CUSTOMER CODE DATE NUMBER PAY THIS AMOUNT 7/21/2017 7495 I $600.06 MAKE CHECKS PAYABLE TO: PLEASE MAKE ANY ADDRESS CORRECTIONS BELOW: CV Waste Removal Cont.Serv. Inc. 2098 St Rt 149 East CKT Ventures Fort Ann NY 12827 11 Lafayette St Queensbury NY 12804 Spectrum Environmental Associates, Inc. INVOICE P.O. Box 1024 Schenectady,NY 12301 DATE INVOICE# 8/9/17 12111 BILL TO: PROJECT INFORMATION: Limited Asbestos Survey CKT Ventures 2 Glendale Drive I1 Lafayette Street Queensbury,NY Queensbury,NY 12804 SPECTRUM PROJ# P.O. NO. TERMS DUE DATE 17-409 Due on receipt 8/9/17 DATE QUANTITY DESCRIPTION RATE AMOUNT 8/7,17 1 NYS Asbestos Inspector with travel and report 325.00. 325.00 12 PLM Bulk Analysis 20.00 240.00 9 NOB Prep Charge 15.00 135.00 9 NOB Bulk Analysis 20.00 180.00 9 TEM Bulk Analysis of Negative NOB(per 55.00 495.00 NYSDOH-ELAP) SUBTOTAL 1,375.00 8/7/17 1 Deposit -1,000.00 -1.000.00 Total $375.00 WE ACCEPT MASTERCARD,VISA,AMERICAN EXPRESS OR DISCOVER CARD THERE WILL BE A$25 CHARGE FOR ALL RETURNED CHECKS Phone# I Fax# I E-mail 518-346-6374 518-3464062 accounting@.4spectrum.com 1� /o' n Saville P.O. Box 824 Glens Falls, NY 12801 May23, 2017 Maynard D. Baker Funeral Home 11 Lafayette Street Queensbury, NY 12804 This is a bill for work performed on the lot and building behind the Maynard D. Baker Funeral Home on Lafayette Street in Queensbury. Work performed at location: Excavated small buried stumps, as well as one large stump, cut down trees and several tree limbs, hauled in 2 loads of fill in back lot. Hauled out 5 loads of concrete, boards and old fence, 7 loads of brush, old roots, stumps, debris and garbage. Leveled area off with 3 pieces of equipment, graded with power rake and back hoe to reach desired grade. Cleaned concrete slab by red building, hauled away tires and rims, boards and debris. Removed guard rail, old concrete and garbage. Cut protruding pipe from red building. Installed new 4X4 three tier wall, back filled with soil and dressed with top soil. Total to outside contractor for trucking and equipment use - $2,650.00 Total to Saville Contracting for trucking and equipment - $1,200.00 Total dumping charge paid - $452.60 Total fill and top soil —All locations - $400.00 4X4 new construction and back fill - labor and materials - $1,838.80 Total - $6,541.40 Tax + $457.89 TOTAL - $6,999.29 Down payment - - $2,000.00 BALANCE DUE - $4,999.29 p� a Dan Saville P.O. Box 824 Glens Falls, NY 12801 June 5, 2017 Maynard D. Baker Funeral Home 11 Lafayette Street Glens Falls, NY 12801 This is a bill for building a 6X6 2 tier wall along side of the red building on the edge of the concrete slab. 6X6's drilled and re rodded into concrete. Filled in area with red dirt and leveled with top soil. Total Materials—6X6's, fill, top soil, re rod, head locks Materials - $457.00 Fill & Topsoil - $340.00 Trucking - $295.00 Labor - $395.00 Total- $1,487.00 Tax- $104.09 Balance Due: / $1,591.09 /� JL�r— N OF QUEE gg ® Town of Queensbury UR'r Attn: Receiver of Taxes I Account Number Amount Due 742 Bay Road 3232-820018-02 S 4 1 R 60_ Queensbury, NY 12804 Billing Date Due Date pi 518-713237 -Penalties and Payments ,\ T E 518-7Billing and Meters /7017 nR /31 /2017 _ �DEPABY 45-5582 www.gueensbury.net ice From Sam ice To Cs\ n7 /04 /2017_ G ,^ Tap Number Tax Map Number I(� I R2nnlR 302 . 7-1 -94 Account Name CKT EN7 Sery rens 1 2 GLENDALE DR / CUSTOMER ACCOUNT INFORMATION - RETAIN FOR YOUR RECORDS PREpTOUTS RALATT('F_ 11 r - ?n PAYMENTS 115 . 20- -------- ------CURRENT------ -----PREVIOUS------ C NT,,BALANCE $0 .00 DATE READING DATE READING USAGE 07/10/2017 2299 04/07/2017 2243 5 WATER 130 . 60 07/10/2017 2346 04/07/2017 2290 5 SEWER 308 . 00 NT BILL $438 . 60 AMOUNT DUE $438 . 60 AMOUNT DUE AFTER 08/31/2017 INCLUDES 10% PENALTY $482 . 46 ANY OUTSTANDING WATER/WASTEWATER BALANCE NOT PAID BEFORE OCTOBER 20, 2017 WILL BE RELAYED TO YOUR JANUARY 2018 PROPERTY TAXES . ^N A ^nn+-Management-(Read Onlyy — �I4 a �i File Edit Options Functions Consoles Help Account Number 3232-820018-01 I Address 21GLENDALEDR Zone 32 "NotesName IMURRAY,METAA. 1 W General I Metered I Non-Metered I Financial I Information I Comments History I Consumption History Service Orders I Devices Pending Activity 1 0.001 Balance 1 0.001 Filter M w L Q Date Packet Type Receipt# ', Reference Debits Credits Balance 1'a r 001649 Payment 48731 952-CLEMENTS FIRM 320.90 0-00 03/22/2017 001641 Bill 1105-3/22 FINAL 320.90 320.90 02/08/2017 001537 Payment 44044 7265 544.20 0-00 02/01/2017 001501 Bill 10107-1/0503/02 544-20 544.20 11/16/2016 001346 Payment 37364 7252 615.70 0-00 11/05/2016 001306 Bill 7/09-10/0712/05 615.70 615.70 08/11/2016 001019 Payment 30742 7231 608.00 0.00 1 08/01/2016 000967 Bill 4/10.7/09 08/31 608.00 608.00 05/17/2016 000784 Payment 23162 7216 813.70 0.00 05/06/2016 000745 Bill 1/11-4/10 06106 813-70 813-70 02/08/2016 000556 Payment 15921 7194 546.40 0.00 02/02/2016 000519 Bill 10/13-1/11 03/03 546-40 546.40 1 12/04/2015 000377 Payment 12017 7184 420.45 0.00 f 11/11/2015 000293 Bill 7/15-10/1312/11 4ZO-45 420.45 nA19519n15 nnnnaa Paumanl T4A7 71F9 tae cn n nn I ................................ ® Clear :...............................: View counterclerk i Management-(Read Only).: _ o ' -dit Options Functions Consoles Help - - Account Number 13232-820018-02 Addf03S r_�IGLENDALE DR 1�1® Zone - "otes." Name JCKT ENTERPRISE,LLC General '�, Metered( Non-Metered I Financial I Information Comments History I Consumption History I Service Orders I Devices Pending Activity O.00 Balance 438.601 Filter F0 t� Date Packet Type Receipt# Reference Debits Credits Balance c 001945 �Bill1511614/05.710408/31 438.601 438.60 05/11/2017 001796 Payment 2600.00 115.201 0.00 05!03!2017 001714 Bill 3/22-4/051 ST BILL 115-20 115-zo �I View ccunterclerk